Located at the Phoenix Indian Medical Center (PIMC), in Phoenix, Arizona. Incumbent serves as the Provider Enrollment Specialist, responsible for initiating provider and facility enrollment applications for Centers for Medicare and Medicaid Services (CMS), Arizona Medicaid (AHCCCS), California Medicaid (Medi-Cal), Nevada Medicaid, New Mexico Medicaid, and various private insurance or managed care plans.
A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).
Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Health System Specialist Total Compensation | Pay (ihs.gov) Serves as the facility or provider authorized organizational official to review and complete CMS, state Medicaid, private insurance, and managed care applications. Submits with administrative approval.
Serves as the liaison/ facility point of contact for the National Provider Identifier (NPI) and Provider Enrollment, Chain of Ownership System (PECOS) for all medical staff. Initiates, revalidates, or re-enrolls provider or facility applications for CMS, state Medicaid programs (Arizona, California, Nevada, and New Mexico).
Includes but not limited to obtaining all necessary documentation to complete an application(credentialing information, medical license(s), etc.), obtain signatures and submit. Assists with the collection of data for the CMS Merit-based Incentive Payment System (MIPS) program as defined by CMS for eligible professionals and hospitals.
Assists the facility and providers in adding or updating information for National Plan and Provider Enumeration System (NPPES, Medicare - Provider Enrollment, Chain and Ownership System (PECOS), Arizona AHCCCS incentive payment system (e-PIP), and CMS Identify & Access Management System (l&A).
Analyzes and evaluates (on a quantitative or qualitative basis) the effectiveness of program operations in meeting established goals and objectives for provider enrollment, reporting requirements and timeliness of organizational responses and performance reporting.
This position has an education requirement. If you are substituting education for experience; You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer.
Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.
For further information, visit https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
Tonia.Becenti@ihs.gov · 928-871-1311
This position is with Indian Health Service, Department of Health and Human Services.
The posted pay range is $64564 – $83938/yr.
This position requires a Other security clearance.
Applications close on 2026-09-28.
This position is open under the 'Fed Transition' hiring path.
Source: USAJOBS.gov — U.S. Federal Government
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